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Doctor insights on: Lesion Patella Microfracture Other

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Knee injury. MRI report "PCL Avulsion fracture of tibia (6-7mm displacement) with adjacent tibial bone edema. fibers are intact." is surgery needed?

Knee injury. MRI report  "PCL Avulsion fracture of tibia (6-7mm displacement) with adjacent tibial bone edema. fibers are intact." is surgery needed?

Yes, it should if-: -U expect 2 have a functioning knee 4 the rest of Ur life. It can only separate more, & a simple reduction & fixation will do what U want it 2 do, reunite the fragment 2 the tibia. The image is a tear & requires a major reconstruction if not fixed. U risk the fragment becoming a nonunion. ...Read more

Dr. Scott Bolhack
802 doctors shared insights

Wounds (Definition)

Wound = injury to tissue. May include ...Read more


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Small meniscal root tear, high grade chondral fissuring partial thickness on the medial femoral condyle, grade 4 chondromalacia patella is this bad?

Small meniscal root tear, high grade chondral fissuring partial thickness on the medial femoral condyle, grade 4 chondromalacia patella is this bad?

Try conservative rx: Seems like most of the damage is under the patella. If you have locking you might need arthroscopy, I would first try terminal extension excercises training the quads without putting much pressure on the patella. In addition research has shown that Asperin could help the surface cartilage heal. In addition, MSM (Puritan Pride) could be helpful as a nutraceutical supplement. ...Read more

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MRI of knee shows "Oblique tear posterior horn medial meniscus, lateral patellar plica and minimal synovial knee effusion" will I need surgery? or ?

MRI of knee shows "Oblique tear posterior horn medial meniscus, lateral patellar plica and minimal synovial knee effusion" will I need surgery? or ?

Possibly: It depends on the degree of tear, how much it is effecting your daily activities and whether it responds to conservative treatment. If the plica does not get better with anti inflammatory meds you will most likely need arthroscopic surgery to remove it, although your orthopedic surgeon will be the best MD to determine that. ...Read more

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Painful cyst in left knee adjacent to posterior horn of medial meniscus. No meniscus tear (confirmed via MRI & arthroscopy). Treatment options?

Painful cyst in left knee adjacent to posterior horn of medial meniscus. No meniscus tear (confirmed via MRI & arthroscopy). Treatment options?

See below:: Most cysts in the back of the knee are due to knee joint causes, which improve as the causes is treated. So my recommendations would be: 1: do nothing except maybe pain meds, for 3 months; if no improvement, then; 2: aspiration (removing fluid) under ultrasonic guidance for fluid/needle biopsy; or; 3: removal of the cyst through the back of the knee, to get tissue for biopsy. ...Read more

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MRI Diagnosis of Horizontal undersurface tear posterior horn medial meniscus and Grade II Chondromalacia patella with trace knee effusion . Surgery?

MRI Diagnosis of Horizontal undersurface tear posterior horn medial meniscus and 
Grade II Chondromalacia patella with trace knee effusion . Surgery?

Obviously you have -: -symptoms, so if the trouble is locking, giving way, the findings indicate a mechanical problem in the knee. You need to follow the advice of your orthopedic surgeon who is familiar with your case, especially if you have treated with him/her for a while. The surgery is only driven by your symptoms. The thing to remember is there is no orth prob so severe that it can't be made worse by surgery. ...Read more

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Diagnosis? Grade 2 chondromalacia, mucoid degeneration to acl, subchondral cyst tibial spines,soft tissue swelling in prepatellar- soft tissue lateral

Diagnosis? Grade 2 chondromalacia, mucoid degeneration to acl, subchondral cyst tibial spines,soft tissue swelling in prepatellar- soft tissue lateral

Diagnosis MRI?: Looks like a summary of an MRI Report. Grade 2 chondromalacia means you have some like age and activity related softening or wearing away of the articular cartilage in your knee. Age related changes to your ACL, but not a tear. Soft tissue swelling usually implies some swelling or bruising in the fat beneath your skin, but outside your joint ...Read more

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Female, 69, knee pain, very active, good health, mri-complex medial meniscal tear with small medial femoral condylar marrow contusion.Surgery only? Thx!

Female, 69, knee pain, very active, good health, mri-complex medial meniscal tear with small medial femoral condylar marrow contusion.Surgery only? Thx!

Maybe: The good news is that the small marrow contusion should heal with conservative treatment without any complications. The bad news is that a complex medial meniscal tear usually will not heal, and surgery will probably be necessary at some point. ...Read more

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Two fissures in articular cartilage (grade III chondromalacia patellae). No arthritis, softening, or degeneration. Could cartilage possibly heal?

Two fissures in articular cartilage (grade III chondromalacia patellae). No arthritis, softening, or degeneration. Could cartilage possibly heal?

Unlikely : Grade 3 chrondromalcia basically means early arthritis of your kneecap. Extremely common.You need to discuss w/ your ORS and not your radiologist.(2) fissures? How do u know...? In order to have any fissures chrondromalcia is present . At any rate, articuclar cartilage does not heal but I would not worry about it. See ORS for remedies to avoid progression. Best of Luck! ...Read more

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Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?

Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?

See orthopedic surg: Please see an orthopedic surgeon. Most likely need to be on crutches for a number of weeks. May need to wear a cast or boot as well. Some taler fractures also result in AVN which prolong the treatment course. ...Read more

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Can arthroscopic knee surgery correct fracture of femoral condyle?

Can arthroscopic knee surgery correct fracture of femoral condyle?

Can assist: Certain fracture patterns of the femoral condyle can be assisted by using arthroscopy. It can judge whether out not the fracture is significantly displaced or if there is an associate cartilage damage. Some fractures can be percutaneusly resuced and screws place tohold the fragments in place and not require an open procedure. ...Read more

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Mri result: 1-2mm cartilage injury or degeneration in weight bearing medial femoral condyle possibly involving free edge of meniscus. What next?

Mri result: 1-2mm cartilage injury or degeneration in weight bearing medial femoral condyle possibly involving free edge of meniscus. What next?

Medial Knee Pain: As a podiatrist, i would team up with an orthopod and physical therapist to help you. I would design wedges for your shoes to off weight the sore area, while you work on strength, flexibility, knee bracing, activity modification, and anti-inflammatory measures. Dr rich blake. ...Read more

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Knee pain took an MRI result says medial femoral chondromalacia osteophyte formation irregular denudation of articular cartilage what is d treatment?

Knee pain took an MRI result says medial femoral chondromalacia osteophyte formation irregular denudation of articular cartilage what is d treatment?

This means arthritis: This means some degree of degenerative arthritis various options are available but none will cure the problem discuss with an orthopedic surgeon. ...Read more

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MRI -Marrow edema, chondral thinning, elongated osteochondral lesion (6x17mm) lateral talar dome.increased signal distal syndesmosis -- need surgery?

MRI -Marrow edema, chondral thinning, elongated osteochondral lesion (6x17mm) lateral talar dome.increased signal distal syndesmosis -- need surgery?

Talar Dome Lesion: Kolleen, you have a large lesion off soft bone inside your ankle. Surgery can be an option, but attempting to create a pain free environment (from boot to just activity restrictions), contrast bathing nightly to increase circulation, Exogen bone stimulator for 9 months, repeat MRI in 6 months to see if improvement is being made, and other treatments available may avoid surgery. Dr Blake ...Read more

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Mri comes back with grade II to III chondromalacia patella , knee joint effusion with ganglion, longitudinal partial tear.Mcland lcl strain. ?

Mri comes back with grade II to III chondromalacia patella , knee joint effusion with ganglion, longitudinal partial tear.Mcland lcl strain. ?

Conservative Rx: Depends upon your primary complaint and whether there was a mechanism of injury. Chondromalacia(i.e.Cartilage wear=arthritis) is common and can cause swelling and pain. Collateral ligament strains/partial tears (mcl+lcl) should be managed well conservatively. Recommend seeing a pt for motion, strengthening, edema control. Am a fan of a stationary bike as well (nonimpact knee motion+strengthening). ...Read more

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Dr. John Michalski
667 doctors shared insights

Patella (Definition)

Patella is a thick piece of bone, more commonly known ...Read more